title: [Spontaneous tension hemothorax due to rupture of a solitary fibrous tumor of the posterior mediastinum].
abstract: A 37-year-old man was transported by ambulance to our hospital due to abrupt chest pain. The pain began when he was practicing a combative-type sport. He denied any impact or blunt trauma. A chest radiograph revealed massive left pleural effusion with a mediastinal shift. Thoracentesis revealed a hemothorax;therefore, we performed an emergency thoracotomy. The intraoperative findings revealed a rupture of a posterior mediastinal tumor itself located between the descending aorta and the thoracic vertebra. After we identified the artery of Adamkiewicz that originates away from the tumor and evaluated the degree of tumor extension into the inter-vertebral foramen, we safely performed an elective tumor resection 1 month after the initial emergency operation. In patients with a hemothorax caused by rupture of the tumor itself, an elective tumor resection after detailed investigation should be considered if hemostasis can be achieved in the emergency thoracotomy.
authors.affiliation: Department of General Thoracic Surgery, Tsukuba Medical Center Hospital, Tsukuba, Japan.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Morita
authors.forename: Hideo
authors.initials: H
authors.lastname: Ichimura
authors.forename: Shinji
authors.initials: S
authors.lastname: Kikuchi
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Ozawa
authors.forename: Kazunari
authors.initials: K
authors.lastname: Inoue
authors.forename: Atsushi
authors.initials: A
authors.lastname: Uchida
authors.forename: Kazunori
authors.initials: K
authors.lastname: Kikuchi
authors.forename: Masanari
authors.initials: M
authors.lastname: Shiigai
authors.forename: Seiji
authors.initials: S
authors.lastname: Shiotani
mesh_terms: D000328:Adult; D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology*; D012422:Rupture, Spontaneous; D054364:Solitary Fibrous Tumors / Q000473:pathology*